Individual
MR. ALLAN JEROME MASIDDO BORLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Mailing address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027845
NY
Other
Enumeration date
01/15/2013
Last updated
10/18/2021
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